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Organization
PUBLIX SUPER MARKETS INC
Active
Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1043
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE E SCANLON (VP OF PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1425 MARKET BLVD STE 600, ROSWELL, GA 30076-6711
(770) 640-6088
(770) 640-6362
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHRE008960
GA
Other
Enumeration date
06/08/2006
Last updated
06/30/2026
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